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August 6, 1898


JAMA. 1898;XXXI(6):305-306. doi:10.1001/jama.1898.02450060043006

The condition described by Cruveilhier, and later by Rokitansky, Klob and Dittrich, under the term of apoplexy of the uterus, has not been given any consideration in the ordinary gynecologic text-books. C. von Kahlden,1 of Freiburg, has recently described several cases which he has observed anatomically and subjected to a thorough examination.

The anatomic condition is, in its principal features, the same in all cases. While the size of the organ may vary, as well as the size of its cavities, there is found everywhere, in the mucous membrane of the uterus, more or less pronounced hemorrhagic infiltration, which in the least marked instances remains limited to the mucous membrane, while in the more advanced cases it extends deeply into the muscular coat. The cervical mucous membrane is always free from extravasations.

The most striking as well as most characteristic features in these cases are the changes in the